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1366593477
PATRICK JOSEPH RUSSOLILLO
MIDDLETOWN, CT
NPI
1366593477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: CT 0001383)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
DR. PATRICK JOSEPH RUSSOLILLO PH.D
154 COLLEGE ST
MIDDLETOWN, CT 06457-3201
Phone number: 860-344-9694
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Mailing Address
DR. PATRICK JOSEPH RUSSOLILLO PH.D
238 TIMBER RIDGE RD
MIDDLETOWN, CT 06457-1538
Phone number: 860-344-9694
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